PERSPECTIVE article
Front. Surg.
Sec. Visceral Surgery
This article is part of the Research TopicInnovations in Abdomino-Pelvic SurgeryView all 4 articles
Redefining Precision in Biliary Surgery: A Paradigm Shift from Operative Mastery to Prognostic-Driven Strategy
Provisionally accepted
Zhi-yuan Bai
Peng-fei Zhang*- The First Hospital of Yulin, Yulin, China
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Traditional biliary surgery equated precision with technical mastery, focusing on flawless dissection and minimizing immediate complications. This article describes a fundamental paradigm shift in how surgical precision is defined. We argue that precision is evolving from technical execution to a comprehensive strategy driven by long-term patient outcomes. The analysis begins by examining limitations of the technique-centric approach. It then details the new paradigm's multidimensional aspects, including preoperative planning, intraoperative function preservation, and tailored postoperative care. The discussion addresses key technologies and conceptual innovations enabling this shift, concluding with future directions. Redefining precision is critically important. It guides personalized therapy, optimizes resource allocation, and advances biliary surgery toward improving long-term quality of life.
Keywords: Biliary tract surgery, paradigm shift, Patient-centered outcomes, precision medicine, prognosis-driven strategy, Surgical precision
Received: 17 Nov 2025; Accepted: 04 Feb 2026.
Copyright: © 2026 Bai and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Peng-fei Zhang
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